刮痧结合针刺治疗单纯性肥胖临床观察

发布时间：2017-12-28 13:17

本文关键词：刮痧结合针刺治疗单纯性肥胖临床观察　出处：《广州中医药大学》2017年博士论文　论文类型：学位论文

【摘要】：背景:肥胖的概念已经演变了 200多年。中过多的脂肪积累和异常脂肪分布导致体重增加等于或大于标准体重的20%。多余的能量以体内脂肪的形式储存形成肥胖。过量脂肪的积累对个人的健康构成风险,其特征在于体重增加,疲劳。近年,研究表明,某些形式的肥胖也是由特定的生物化学因素引起的。这些因素如何影响食物调节和能量代谢,而构成慢性代谢疾病和内分泌疾病是非常复杂的,仍然是一个悬而未决的问题。肥胖与脑血管和心血管疾病以及糖尿病的关联是一个主要的公共卫生问题。中医认为,身体脂肪是痰浊的积累。痰液是由身体内液体的凝结产生的。据说,三个脏器,即肺,脾,肾,对体内液体的调节负责;但是,脾脏是的主要器官。脾脏控制液体变成湿和痰液。损伤的脾脏功能可能导致转化功能失效,导致湿病原体的积累。长期而言,湿的病原体会凝结成痰(脂肪)并引起肥胖。自20世纪80年代以来,针灸已经发现有效于体重控制。越来越多的证据表明针灸对减肥产生良好的效果,而不会引起不良反应。针灸治疗肥胖症越来越多地被世界各地越来越多的人所接受。此外,针灸可以帮助治疗与肥胖相关疾病。近年来针对基础和临床领域进行针灸减肥的广泛研究。刮痧是传统东亚医学的治疗技术。有时被称为"冲压,勺子或刮擦",刮痧被定义为仪器辅助的单向压力机械表面的润滑区域,故意创建代表皮肤外渗血液的"痧"。刮痧能够消除传统东亚医学中认为致病的血液停滞。现代研究显示,暂时性治疗性瘀点产生抗炎和免疫保护作用,在单次治疗后持续数天,可缓解患者疼痛,僵硬,发烧,寒战,咳嗽,喘息,恶心和呕吐等症状,并能具有减肥等功效。目的:本研究旨在评估针灸加刮痧治疗单纯性肥胖患者的疗效和安全性。本研究还将确定哪些针灸治疗最有效的治疗肥胖症的患者(募穴或背俞穴)。通过结合刮痧治疗方法,将针刺穴位和募穴或背俞穴用于简单肥胖的常用用途,观察治疗单纯性肥胖的临床疗效,并证明其有效治疗方法。该研究是一项随机对照试验,由三组(针灸和刮痧治疗)和对照组(针灸组)组成。方法:90例患者分为2组和对照组,对照组仅包括针灸治疗。治疗组包括针灸治疗,而刮痧治疗每周两次。处方含有中脘(CV 12),天枢(ST 25),大横(SP 15),曲池(LI 11),阴陵泉(SP 9),丰隆(ST 40),上巨虚(ST 37)带脉(GB 26。穴或背俞穴穴位针刺治疗单纯性肥胖的安全有效治疗方法。结合饮食,运动和认知治疗,针灸可能是一种安全有效的肥胖治疗形式。如果根据CM综合征分化个体化,针灸可能更有益。当与其他治疗(即心理治疗,饮食疗法,运动等)结合使用时,针灸对于BW,BMI显示出更多的益处。饮食和身体活动模式的变化往往是与卫生,农业,交通运输,城市规划,环境,食品加工,分销,营销和教育等部门发展相关的环境和社会变化以及缺乏支持性政策的结果。超重和肥胖以及相关的非传染性疾病在很大程度上是可以预防的。超重和肥胖减少,支持性环境和社区是塑造人们选择的基础,通过选择更健康的食物和定期的身体活动是最简单的选择(最容易获得,可用和负担得起的选择),因此防止超重和肥胖肥胖。在个人层面上,人们可以:·限制总脂肪和糖类的能量摄入量;·增加水果和蔬菜以及豆类,全麦和坚果的消费;和·定期进行身体活动(儿童每天至少60分钟,成人每周传播150分钟)。个人责任只有在人们有机会获得健康的生活方式的情况下才能有效果。
[Abstract]:Background: the concept of obesity has evolved for more than 200 years. Excessive fat accumulation and abnormal fat distribution resulted in weight gain equal to or greater than 20% of the standard weight. Excess energy is stored in the form of fat in the body to form obesity. The accumulation of excess fat is a risk to a person's health, which is characterized by weight gain and fatigue. In recent years, studies have shown that some forms of obesity are also caused by specific biochemical factors. How these factors affect food regulation and energy metabolism, constitute chronic metabolic disease and endocrine disease is very complex, is still an open question. The association of obesity with cerebrovascular and cardiovascular diseases and diabetes is a major public health problem. Traditional Chinese medicine believes that body fat is the accumulation of phlegm turbidity. The sputum is produced by the condensation of the liquid in the body. It is said that the three organs, the lungs, the spleen and the kidney, are responsible for the regulation of the fluid in the body; however, the spleen is the main organ. The spleen controls the liquid to become wet and sputum. Injury of spleen function may lead to the conversion function failure, resulting in the accumulation of dampness pathogen. In the long term, a wet pathogen condenses into phlegm (fat) and causes obesity. Since 1980s, acupuncture has been found to be effective in weight control. More and more evidence shows that acupuncture has a good effect on losing weight and does not cause adverse reactions. The treatment of obesity by Acupuncture and moxibustion is increasingly accepted by more and more people around the world. In addition, acupuncture can help the treatment of obesity related diseases. In recent years, there has been a wide range of research on acupuncture and moxibustion for weight loss in the field of basic and clinical fields. Scraping is the treatment technology of Traditional East Asian medicine. Sometimes called "stamping, spoon or scraping, scraping" is defined as the unidirectional pressure lubrication region surface of mechanical instruments, deliberately created on behalf of the "Sha blood extravasation of skin". Scraping can eliminate the stagnation of blood that is believed to be pathogenic in traditional East Asian medicine. Modern research shows that the temporary treatment of petechiae produce anti-inflammatory and immune protective effect in after a single treatment for several days, can relieve the pain of patients, have a fever, stiff, chills, cough, wheezing, nausea and vomiting and other symptoms, and with weight loss and other effects. Objective: the purpose of this study was to evaluate the efficacy and safety of acupuncture and scraping in the treatment of simple obesity. This study will also determine which acupuncture treatment is the most effective treatment for obesity patients (acupoints or back Yu Xue). Combined with scraping therapy, acupuncture points and Mu points or back Shu points are used for simple obesity. Observe the clinical effect of simple obesity and prove its effective treatment. The study was a randomized controlled trial consisting of three groups (acupuncture and scraping treatment) and a control group (acupuncture and moxibustion group). Methods: 90 patients were divided into 2 groups and the control group, and the control group only included acupuncture and moxibustion. The treatment group included acupuncture and moxibustion, and scrapping treatment was two times a week. The prescription containing Zhongwan (CV 12), Tianshu (ST 25), large cross (SP 15), Quchi (LI 11), yinlingquan (SP 9), Fenglong (ST 40), Shangjuxu (ST 37) with GB (26. A safe and effective treatment for simple obesity by acupuncture at acupoints at acupoint or back Shu points. Acupuncture and moxibustion may be a safe and effective form of obesity treatment combined with diet, exercise and cognitive therapy. Acupuncture may be more beneficial if it is individualized according to CM syndrome. When combined with other treatments, such as psychotherapy, dietotherapy, exercise, etc., acupuncture shows more benefits for BW and BMI. Changes in diet and physical activity patterns are often the result of environmental and social changes and lack of supportive policies related to health, agriculture, transportation, urban planning, environment, food processing, distribution, marketing and education. Overweight and obesity, as well as related non communicable diseases, are largely preventable. Overweight and obesity are decreasing. Supportive environment and community are the basis for shaping people's choice. Choosing the healthier food and regular physical activity is the simplest choice (the easiest, available and affordable option), so preventing overweight and obesity from obesity. At the individual level, people can: limit the total energy intake of total fat and sugar; increase consumption of fruits and vegetables, beans, whole grains and nuts; and regular physical activity (children at least 60 minutes a day, adults spread 150 minutes per week). Personal responsibility can only be effective when people have a chance to get a healthy lifestyle.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R244.4

【相似文献】